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Organization
VIVIDLY VITALITY MENTORING & COUNSEL, LLC
Active
Organization
VIVIDLY VITALITY MENTORING & COUNSEL, LLC
Active
Other names
Vividly Vitality Mentoring & Counsel, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TALENCIA ARLICIA WALKER MSW (EXECUTIVE DIRECTOR)
(480) 484-8647
Entity
Organization
Contact information
Practice address
920 S TERRACE RD UNIT 5035, TEMPE, AZ 85281-3805
(480) 482-8647
(480) 936-0000
Mailing address
920 S TERRACE RD UNIT 5035, TEMPE, AZ 85281-3805
(480) 482-8647
(480) 936-0000
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
NULL
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/01/2021
Last updated
12/01/2021
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